Essential L-amino acids for hyperalimentation in patients with disordered nitrogen metabolism

Autor: John A. Ryan, William M. Abbott, Clyde H. Beck, Ronald M. Abel, Josef E. Fischer
Rok vydání: 1974
Předmět:
Zdroj: The American Journal of Surgery. 128:317-323
ISSN: 0002-9610
DOI: 10.1016/0002-9610(74)90165-2
Popis: One hundred thirty-nine patients with disordered nitrogen metabolism received an intravenous solution of essential L-amino acids and hypertonic dextrose to provide parenteral nutrition in the presence of either acute renal failure, “hepatorenal syndrome,” chronic hepatic insufficiency without renal failure, or azotemia resulting from a variety of other causes. Infusions were managed by routine hyperalimentation technics, modified somewhat to avert potential metabolic side effects. Clinical and metabolic results attributable to the therapy included improved nutritional status and salutary serum electrolyte changes. Complications of therapy were few in number; notable was hyperglycemia which was easily managed in most instances. The capacity to safely deliver intravenous nutrients to patients even with marked disturbances in hepatic or renal function is clearly established.
Databáze: OpenAIRE